Provider Demographics
NPI:1285392613
Name:DURFEE, ELIZABETH (MSSW, ACSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:DURFEE
Suffix:
Gender:F
Credentials:MSSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 GIGLING RD
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-8305
Mailing Address - Country:US
Mailing Address - Phone:505-660-0124
Mailing Address - Fax:
Practice Address - Street 1:183 FOREST AVE STE 2
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-2683
Practice Address - Country:US
Practice Address - Phone:831-205-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1019531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical